Abstract:
:This study aimed to determine whether (1) cognitive behavioural therapy with behavioural analysis for insomnia (CBTi-BA) is more effective for insomnia and co-morbid depressive symptoms than treatment as usual (TAU) and (2) whether CBTi-BA promotes earlier reduction of the daily dose of hypnotic medication in chronic insomnia resistant to pharmacological treatment. A total of 63 patients with chronic insomnia aged 20-77 years who already received hypnotic medication regularly were assigned to two interventions: combined therapy or TAU alone. The subjects provided demographic information and completed self-rating scales for insomnia and depressive symptoms. After treatment, the combined therapy group showed significant decreases in the symptoms of both insomnia and depression and significant reductions in the daily dose of hypnotic medication compared with the group receiving TAU alone. In the combined therapy group, 71% of the participants reported a reduction in insomnia to normal levels and 79% succeeded in decreasing the daily dose of hypnotics to 50% or less of the baseline dose. These results revealed that CBTi-BA can reduce insomnia and depressive symptoms as well as the daily dose of hypnotic medication in patients with chronic insomnia resistant to pharmacological treatment.
journal_name
Psychiatry Resjournal_title
Psychiatry researchauthors
Okajima I,Nakamura M,Nishida S,Usui A,Hayashida K,Kanno M,Nakajima S,Inoue Ydoi
10.1016/j.psychres.2013.06.028subject
Has Abstractpub_date
2013-12-15 00:00:00pages
515-21issue
2eissn
0165-1781issn
1872-7123pii
S0165-1781(13)00344-2journal_volume
210pub_type
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